Provider Demographics
NPI:1568575306
Name:HOSKYNS, ROBERT NICKOLAS (DMD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:NICKOLAS
Last Name:HOSKYNS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:DR
Other - First Name:BOB
Other - Middle Name:
Other - Last Name:HOSKYNS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DMD
Mailing Address - Street 1:8890 E DESERT COVE
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260
Mailing Address - Country:US
Mailing Address - Phone:480-990-9544
Mailing Address - Fax:480-990-7031
Practice Address - Street 1:8890 E DESERT COVE
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260
Practice Address - Country:US
Practice Address - Phone:480-990-9544
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-16
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3004400122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ0747504MOtherAZ TAX ID NUMBER
BH3534357OtherDEA DRUG ENFORCEMENT